Michael J Odonoghue, MD | |
11110 Medical Campus Rd, Hagerstown, MD 21742-6700 | |
(301) 665-4901 | |
(301) 665-4941 |
Full Name | Michael J Odonoghue |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 32 Years |
Location | 11110 Medical Campus Rd, Hagerstown, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285711192 | NPI | - | NPPES |
60181101 | Other | MD | BLUE SHIELD |
R5110006 | Other | DC | GHI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | D59367 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Meritus Medical Center | Hagerstown, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Practices Of Antietam, Llc | 2567353865 | 183 |
Entity Name | Medical Practices Of Antietam, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558430843 PECOS PAC ID: 2567353865 Enrollment ID: O20040324001019 |
Entity Name | John G Newby Md P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619907862 PECOS PAC ID: 9638260136 Enrollment ID: O20070814000072 |
Mailing Address | Practice Location Address |
---|---|
Michael J Odonoghue, MD 11110 Medical Campus Rd, Hagerstown, MD 21742-6700 Ph: (301) 665-4901 | Michael J Odonoghue, MD 11110 Medical Campus Rd, Hagerstown, MD 21742-6700 Ph: (301) 665-4901 |
Sharif A. Ali, M.D Pathology Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd Ste 230, Hagerstown, MD 21742 Phone: 301-665-4900 | |
Gary M Mire, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 11110 Medical Campus Rd, Hagerstown, MD 21742 Phone: 301-665-4901 | |
Dr. John G. Newby, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 11110 Medical Campus Rd, Hagerstown, MD 21742 Phone: 301-665-4901 Fax: 301-665-4941 |